WAL-MART STORES EAST LP (NPI# 1770500902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770500902 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WAL-MART PHARMACY 10-2614 |
| Practice Address |
5370 Allentown Pike Temple PA 19560-1200 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-0445 |
| Practice Telephone | 6109390616 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP415551L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2084753 | 01 | |
| PA | 1007455310130 | 05 |
| Other Name | Type Code |
|---|---|
| WAL-MART PHARMACY 10-2614 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657426 | Wal-mart Stores East Lp | Pharmacy | 14325 Sw 268th Ter, Homestead, FL 33032-7555 | 2018-01-25 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1033623236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | 2017-11-27 |
| 1477065704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 337 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-26 |
| 1841709516 | Wal-mart Stores East Lp | Pharmacy | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | 2017-09-26 |
| 1396264305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | 2017-09-12 |
| 1720506967 | Wal-mart Stores East Lp | Pharmacy | 955 S Woodland Blvd, Deland, FL 32720-0000 | 2017-09-08 |
| 1164944104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | 2017-07-12 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
| Street Address |
5370 ALLENTOWN PIKE |
| City | TEMPLE |
| State | PA |
| Zip Code | 19560-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528021284 | Richard P Christoph | Optometrist | 5370 Allentown Pike, Inside Wal-mart Vision Ctr., Temple, PA 19560-1200 | 2006-04-11 |
| 1083215818 | Nayela Mohiuddin | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-11-06 |
| 1508467861 | Diane Luu | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-11-03 |
| 1093315731 | Nicholas Bonanni | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-10-30 |
| 1386244630 | Karna Jani | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-10-27 |
| 1356970552 | Jennifer D Rothenberger | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-04-08 |
| 1790314029 | Christine D Nguyen | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-04-07 |
| 1174814883 | Gerald T O'connell | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2011-04-28 |
| 1275824385 | Lorraine W Bottorf | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2011-04-22 |
| 1588748602 | Wal-mart Stores East, Lp | Technician/Technologist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911127 | Willie Marvin Hutchinson | Counselor | 1017 Highview Court, Temple, PA 19560 | 2017-06-08 |
| 1295981082 | Giant Food Stores, LLC | Durable Medical Equipment & Medical Supplies | 4320 N. 5th Street Hwy, Temple, PA 19560 | 2008-08-12 |
| 1174691802 | Donna Marie Di Jinio | Dentist | 4729 Kutztown Road, Temple, PA 19560 | 2006-12-01 |
| 1437176252 | Muhlenberg Medical Associates | Internal Medicine | 4201 Kutztown Road, Temple, PA 19560 | 2006-07-16 |
| 1407839368 | Sailaja Musunuri | Psychiatry & Neurology | 8th Avenue & Hay Rd, Kidspeace National Centers Berks Campus, Temple, PA 19560 | 2005-11-23 |
| 1437625530 | Kelsey Sara Reich | Specialist/Technologist | 400 Sharp Ave, Laureldale, PA 19560 | 2018-10-17 |
| 1467597161 | Kidspeace National Centers, Inc. | Nursing Care | 704 Hay Rd, Temple, PA 19560 | 2007-02-20 |
| 1386710432 | Brian S Klee Dpm | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-11-28 |
| 1932207875 | Lawrence Capozello | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-09-21 |
| 1568731784 | Amdent Ltd | Dentist | 5106 Allentown Pike, Temple, PA 19560-1212 | 2011-12-16 |
| Find all providers in zip 19560 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477798429 | Ingles Markets Inc | Pharmacy | 488 Carrollton St, Temple, GA 30179-4144 | 2008-12-04 |
| 1750536173 | Baylor Health Enterprises Lp | Pharmacy | 514 W Adams Ave, Temple, TX 76501-4215 | 2008-11-26 |
| 1629172432 | Cvs Pharmacy Inc | Pharmacy | 2674 S 31st St, Temple, TX 76504-7104 | 2006-09-12 |
| 1669487658 | Walgreen Co | Pharmacy | 3614 S 31st St, Temple, TX 76502-2813 | 2006-07-29 |
| 1942226196 | Temple Pharmacy, Inc. | Pharmacy | 285 Sage St, Temple, GA 30179-3846 | 2006-07-14 |
| 1437307881 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 4220 5th Street Hwy, Temple, PA 19560-1738 | 2008-08-28 |
| 1023196219 | Baylor Health Enterprises, L.p. | Pharmacy | 1901 Sw H K Dodgen Loop, Building 300, Temple, TX 76502-1814 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.